Evidence map›Paper›PMID 17933954›Full record

ArticleJournal of epidemiology and community health2007

Social problems, primary care and pathways to help and support: addressing health inequalities at the individual level. Part I: the GP perspective.

Jennie Popay, Ute Kowarzik, Sara Mallinson, Sara Mackian, Jacqui Barker

Abstract readMulticenter Study
In one paragraph

Article in Journal of epidemiology and community health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. Patient experience and satisfaction with symptomatic faecal immunochemical testing: an explanatory sequential mixed-methods evaluation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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  20. Delivering a primary care-based social prescribing initiative: a qualitative study of the benefits and challenges.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jennie PopayInstitute for Health Research, Lancaster University, Alexandra Square, Lancaster LA1 4NT, UK. j.popay@lancaster.ac.uk
Ute Kowarzik
Sara Mallinson
Sara Mackian
Jacqui Barker

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to describe social problems presented to general practitioners (GPs) in UK inner cities and GPs' responses; describe patients' help-seeking pathways; and consider how these pathways can be improved.

methodsThe study involved a pilot survey and follow-up qualitative interviews with patients in two inner city areas in London and Salford in 2001-2. The pilot survey involved five practices in each locality. GPs completed questionnaires on 57 people presenting with social problems. A diversity sample of 12 patients were followed up for interview.

resultsStudy results are presented in two parts. This paper focuses on the GP survey results. People were presenting with a wide range of social problems, and multiple problems were also common. Problems with welfare benefits and housing were the most common, but GPs were most likely to refer to counselling services and to a lesser extent to generic advice services. Some GPs would have preferred to refer patients to more problem-specific services but did not believe these were available.

conclusionsThe study highlights the role GPs play in helping people deal with social problems but also identifies limitations in their response to these problems. It points to the need for more integrated pathways to help and advice for social problems. Primary care can make existing pathways more visible and accessible, and create new pathways through, for example, the new commissioning role and extending the scope of social prescribing.

Indexed as

AdolescentAdultAgedAttitude of Health PersonnelEnglandEpidemiologic MethodsFamily PracticeFemaleHealth Services ResearchHealth Status DisparitiesHumansLondonMaleMiddle AgedPatient Acceptance of Health CarePrimary Health Care

Identifiers

PMID17933954
PMCPMC2465599

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.